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Important notice

Government Authentication Service

You will soon be able to access our online services using the Government Authentication Service. Get started and create your account now. Please note that the option of logging in with clicSÉQUR will be maintained for a certain period.

  • 1 Identité de l’enfant
  • 2 Coordonnées de l’enfant au Québec
  • 3 Identité du responsable de la demande
  • 4 Séjour de l’enfant au Québec
  • 5 Précisions sur le séjour de l’enfant au Québec
  • 6 Next
  • 7 Fin
webform_started

Register for health insurance for a temporary stay: Child

Unless otherwise indicated, you must answer all questions.

Identity of the child

Identity of the child

For multiple first names, please indicate the most commonly used.

Example: Thirty-one, then slash, then zero one, then slash, then two thousand, five

Sex

Example: Three nines, followed by three nines, followed by three nines